Provider Demographics
NPI:1902937410
Name:HERNANDEZ FLORES, VICTOR MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:MANUEL
Last Name:HERNANDEZ FLORES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:VIA GUAJANA #533
Mailing Address - Street 2:HACIENDA SAN JOSE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-535-1001
Mailing Address - Fax:787-535-1012
Practice Address - Street 1:STREET 14 BO. RINCON SECTOR LOMAS
Practice Address - Street 2:EMERGENCY ROOM MENNONITE GENERAL HOSPITAL
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-3130
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:787-535-1012
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
PR13506208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH71039Medicare UPIN